Federal inspection record · CMS data as of October 1, 2026
Mirabella Portland
3550 S Bond Ave, Portland, OR · (503) 245-4742
- CMS high-performer trophy
- Certified beds
- 44
- Residents per day
- 24
- Ownership
- Non-Profit
- Chain
- Pacific Retirement Services
- Medicare / Medicaid
- Medicare
- Certified since
- February 3, 2011
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
Mirabella Portland carries 10 inspection points. That is fewer than 94% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation2D
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care2D
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning2E
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2026-03-27
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-11-25
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-08-24
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 15 min of nursing staff time a day, 1 h 27 min of it from a registered nurse.
This home
5 h 15 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better | 100.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better | 100.0% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 3.6% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.6 pts worse | 20.5% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 4.3% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medicationAbout the same | 12.2% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.5 pts better | 4.8% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.1 pts worse | 22.7% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.2 pts worse | 25.4% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.6 pts worse | 4.9% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection6.8 pts worse | 8.8% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.3 pts worse | 29.1% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.6 pts better | 0.0% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts better | 95.7% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.5 pts better | 4.5% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.8 pts better | 95.7% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.5 pts better | 9.4% | 21.9% | 23.4% |
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Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bright, Zac | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bright, Zac | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hawkins, Richard | Corporate Director · Individual | 0% | 2 facilities |
| Hawkins, Richard | Corporate Officer · Individual | 0% | 2 facilities |
| Johnson, Lynn | Corporate Director · Individual | 0% | 4 facilities |
| Johnson, Lynn | Corporate Officer · Individual | 0% | 4 facilities |
| Kiernan, Janet | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Kiernan, Janet | Adp Of The SNF · Individual | 0% | 6 facilities |
| Mccartney, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mccartney, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mcgill, James | Corporate Director · Individual | 0% | 6 facilities |
| Morgan, Emily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morgan, Emily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pacific Retirement Services Inc | Adp Of The SNF · Organization | 0% | 9 facilities |
| Sabatini, Anthony | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Sabatini, Anthony | Adp Of The SNF · Individual | 0% | 6 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness2F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
Smoke2F
- F
Have an alternate power supply for its alarm system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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Other homes nearby
-
Reedwood Post Acute
Portland, OR · Pacs Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0
-
The Creston Health & Rehabilitation
Portland, OR · Lyon Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 50 min
- Fines
- $122,699
-
Avamere Crestview Of Portland
Portland, OR · Avamere
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 22 min
- Fines
- $0